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Analyse and critically discuss the NHS Long Term Plan (LTP) in relation to clinical leadership

7KNIE703 Revised Assignment

Analyse and critically discuss the NHS Long Term Plan (LTP) in relation to clinical leadership.

Download and read the NHS Long Term Plan (LTP).  Much of the information you will need for this assignment is in the plan itself, or you can find it referred to in the citations mentioned in the text.

https://www.england.nhs.uk/long-term-plan/

 

1.  Describe the background to the NHS Long Term Plan. 

  • Why was a new plan needed? 
  • What political influences resulted in the new LTP?
  • What was the policy context for the plan?

 

2.  Select one of the first 5 chapters of the LTP. These are:

        I.            New service models

      II.            Action on prevention and health inequalities

    III.            Improving care quality and outcomes

    IV.            Support for NHS staff

      V.            Digitally enabled care

Explain why this chapter is an important area for new policy and service development. You need to refer to discussion of the area in the LTP itself and in other literature and research.  You can also relate this to your own clinical experience to date.

3.  In your chosen chapter chose one specific goal that the plan describes.  Pick one from the list itemized below.  I have included the respective paragraph number so you can find it in the LTP.

Describe how the specific goal is presented and justified in the LTP.  Briefly summarise other evidence from reports or research that supports this goal.  Aim to refer to at least three pieces of evidence, preferably all dated after 2010 and from the UK.

 

4.  Describe your ideas for how this goal could be implemented

  • What might be the facilitators and barriers to implementation?
  • How would you evaluate the impact of this new service development?

5.  Refer to the NHS Leadership Academy framework.

  • Imagine that you involved in the roll out of this new goal.  Choose 2 dimensions from the NHS Leadership Academy framework that you think are key to making sure that this goal is achieved.

 

List of specific goals described in the NHS Long Term Plan:  Chose ONE for your essay.

 

  1. Chapter 1 New service models

 

a)      Improving the capacity and responsiveness of multi-disciplinary community and intermediate care services (1.8. to 1.12)

b)      Upgrading NHS support to all care home residents (1.13. to 1.15)

c)      Home based and wearable health monitoring equipment (1.18)

d)      Supporting people with dementia to stay at home (1.20)

e)      Zero day admissions (1.28 to 1.30)

f)       Social prescribing (1.40)

g)      Personal Health Budgets (1.41)

h)      Personalising end of life care (1.42)

i)        Digital outpatient appointments and e-clinics (1.43 to 1.48)

  1. Chapter 2 Action on Prevention and Health Inequalities

a)      Access to weight management services in primary care (2.14)

b)      Very low calorie diets for obese people (2.17)                                    

c)      Specialist Alcohol Care Teams (2.20)

d)      Reduce use of antibiotics to counter antimicrobial resistance (2.22)

e)      Specialist homelessless mental health support (2.32)

f)       Carers’ passports (2.33)

g)      Support for young carers (2.35)

h)      Specialist clinics for problem gambling

 

  1. Chapter 3 Care Quality and Outcomes

 

a)      Children and young people’s mental health support teams in schools and colleges (3.28)

b)      Integrated mental health services for young people in transition to adulthood, iThrive model (3.30)

c)      Suicide reduction in university student welfare services

d)      Health checks for people with autism (3.31)

e)      Reducing inappropriate prescribing of psychotropic medication to people with learning disabilities (3.31)

f)       Designated key workers for children with learning disabilities and/or autism (3.33)

g)      Reducing inpatient population of people with learning disability and/or autism

h)      Reducing use of seclusion, long-term segregation and restraint in inpatient settings for people with learning disabilities (3.36)

i)        Supporting children and young people to take part in clinical trials of cancer treatment (3.39)

j)        Modernise the Bowel Cancer Screening Programme (3.53)

k)      HPV primary screening for cervical cancer

l)        Extend lung health checks (3.56)

m)   Extending access to genetic testing fo Familial Hypercholesterolaemia (3.68)

n)      Educating the general public about how to recognize and respond to cardiac arrest (3.71)

  • o)      Expanding medical thrombectomy (3.75)

p)      Expanding access to HeLP Diabetes online self-management tool (3.79)

q)      Roll out of flash glucose monitors (3.80)

r)       Expanding pulmonary rehabilitation for those with COPD (3.86)

s)       Switch to dry power inhalers for asthma (3.86)

t)       24/7 Community based mental health crisis response teams (3.96)

u)      Crisis provision including sanctuaries, safe havens and crisis cafes for those experiencing mental health crisis (3.98)

v)      New mental health transport vehicles (3.101)

w)    Suicide bereavement support for families (3.106)

x)      Increase number of people registering for and participating in health research (3.114)

IV         Chapter 4 Support for NHS staff

a)      Establish a new online nursing degree for the NHS (4.16)

b)      Nursing apprenticeships (4.18)

c)      Body worn cameras for paramedics (4.41)

d)      Engaging NHS staff with ‘Talk Health and Care’ and ProjectA (4.44)

e)      Electronic rosters and e-job plans (4.48)

f)       Schemes for volunteering in the NHS (4.54)

V          Chapter V  Digitally Enabled Care

 

a)      NHS App as a standard online way for people to access the NHS (5.11)

b)      Every person with a long term condition to have online access to their Summary Care Record (5.14, 5.14)

Essay Planning – word and marks breakdown

Overall words = 2,000

1.  Describe the background to the NHS Long Term Plan. 

 

Brief description of political and policy background

 

250 words 

12.5% marks

2.  Select one of the first 5 chapters of the LTP and explain why this chapter is an important area for new policy and service development.

250 words

12.5% marks

3. Pick one specific goal in your chosen chapter from the list.

  • Describe how the specific goal is presented and justified in the LTP. 
  • Briefly summarise other evidence from reports or research that supports this goal.  Aim to refer to at least three pieces of evidence, preferably all dated after 2010 and from the UK.

600 words

30% marks

4.  Describe your ideas for how this goal could be implemented

  • What might be the facilitators and barriers to implementation?
  • How would you evaluate the impact of this new service development?

400 words

20% marks

5.  Refer to the NHS Leadership Academy framework.

  • Imagine that you involved in the roll out of this new goal.  Choose 2 dimensions from the NHS Leadership Academy framework that you think are key to making sure that this goal is achieved.

500 words

25% marks


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